The San Francisco County Behavioral Health Committee convened on July 4, 2025, to address critical issues surrounding the case management system for individuals suffering from mental illness and substance use disorders. The meeting highlighted the essential role of case managers in navigating the complexities of care, housing, and treatment for some of the city's most vulnerable residents.

The discussion began with an acknowledgment of the challenges faced by case managers, who are pivotal in connecting clients with necessary services. It was noted that the demanding nature of this work often leads to high turnover rates and a shortage of qualified professionals in the field. The committee emphasized the need for better support and compensation for case managers, who are currently underpaid despite the significant responsibilities they carry.

A poignant email from two licensed clinical social workers at General Hospital was shared, illustrating the struggles within the system. They described the lack of access to essential resources, such as 24-hour shelter beds and crisis centers, which complicates the case managers' efforts to assist their clients effectively. The social workers called for increased investment in resources dedicated to behavioral health, stressing that without these improvements, the current landscape would remain unchanged.

Imo Momo from the Department of Public Health provided an overview of the case management system, detailing the different levels of care available. He explained that case management services range from low-intensity support for individuals in stable recovery to high-intensity interventions for those at risk of severe negative outcomes. The committee recognized the importance of tailoring services to meet the varying needs of clients, ensuring that all individuals receive appropriate support.

The meeting concluded with a commitment from the committee to work closely with the Department of Public Health to enhance the case management system. The overarching goal is to create a more effective and integrated approach to behavioral health care in San Francisco, ultimately leading to improved outcomes for those in need. The committee plans to continue these discussions in future hearings, focusing on the implementation of the Mental Health SF initiative and the necessary reforms to support case management efforts.